Dai Yawen, Jiang Hui
Department of Obstetrics, Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai, China.
Department of Nursing, Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai, China.
J Thorac Dis. 2024 Nov 30;16(11):8014-8025. doi: 10.21037/jtd-24-960. Epub 2024 Nov 21.
Family-centered care (FCC) is a mutually beneficial healthcare approach focusing on collaborative planning, delivery, and evaluation involving healthcare providers, patients, and families. The FCC approach, despite its widespread application in diverse medical contexts, encounters significant barriers in its integration into clinical practice, particularly in the management of novel coronavirus pneumonia (NCP). This review aims to explore the current state of research on and factors influencing the family-centered clinical model of care, and to reveal the challenges and coping strategies encountered by this model in NCP-like health crises. This review also aims to provide recommendations on how to transform the family-centered clinical care model to effectively respond to declared health emergencies.
We searched six databases for relevant published literature up to August 30, 2024. In addition, reference lists of all selected publications were used to identify additional eligible studies. One researcher independently selected the literature and the results were checked by a senior researcher; these results were presented and discussed among the researchers to resolve differences and reach consensus.
Seventy-three articles published from January 01, 1900 to August 30, 2024 met the inclusion criteria. The literature included the conceptual and historical development of FCC in care, areas of application of FCC, assessment and measurement tools for FCC, economic benefits of FCC, gaps in clinical implementation, impact of NCP on FCC, and coping strategies to promote FCC.
The evolution of the FCC marks a transition from the authoritarian approach of traditional healthcare to a more humane, collaborative model. The emergence of the NCP model for prevention and control during the coronavirus disease 2019 (COVID-19) epidemic posed a significant challenge to the implementation and development of the FCC. The integration of telehealth models with FCC is seen as the future of FCC.
以家庭为中心的护理（FCC）是一种互利的医疗保健方法，专注于医疗保健提供者、患者及其家庭之间的协作规划、提供和评估。尽管FCC方法在各种医疗环境中得到了广泛应用，但在将其整合到临床实践中时，尤其是在新型冠状病毒肺炎（NCP）的管理方面，遇到了重大障碍。本综述旨在探讨以家庭为中心的临床护理模式的研究现状及其影响因素，并揭示该模式在类似NCP的健康危机中遇到的挑战和应对策略。本综述还旨在就如何转变以家庭为中心的临床护理模式以有效应对已宣布的健康紧急情况提供建议。
我们检索了六个数据库，以查找截至2024年8月30日已发表的相关文献。此外，还利用所有选定出版物的参考文献列表来识别其他符合条件的研究。一名研究人员独立选择文献，结果由一名资深研究人员进行核对；这些结果在研究人员之间进行展示和讨论，以解决分歧并达成共识。
1900年1月1日至2024年8月30日发表的73篇文章符合纳入标准。这些文献包括FCC在护理中的概念和历史发展、FCC的应用领域、FCC的评估和测量工具、FCC的经济效益、临床实施中的差距、NCP对FCC的影响以及促进FCC的应对策略。
FCC的演变标志着从传统医疗保健的专制方法向更人性化、协作性模式的转变。2019冠状病毒病（COVID-19）疫情期间NCP防控模式的出现对FCC的实施和发展构成了重大挑战。远程医疗模式与FCC的整合被视为FCC的未来发展方向。
